Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,949.84 / $1,995.26	Facility		$891.25	$1,949.84	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $489.78 / $3,981.07	Professional		$371.54	$489.78	$3,981.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,235.94 / $5,370.32	Facility		$891.25	$3,235.94	$5,370.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $489.78 / $602.56	Professional		$371.54	$489.78	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $851.14	Professional		$537.03	$676.08	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $1,288.25	Professional		$60.26	$60.26	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $776.25 / $1,778.28	Facility		$398.11	$776.25	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $676.08 / $870.96	Professional		$426.58	$676.08	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $363.08	Professional		$251.19	$251.19	$363.08